重庆市661名愿意行包皮环切手术者卫生服务需求调查

Surveying the requirement of 661 cases willing to conduct circumcision on health services in Chongqing

目的：了解重庆市愿意行包皮环切手术的男性卫生服务的需求状况,从而为该市卫生服务的提供者提供依据。方法采用多阶段分层随机抽样,于2009年11月-2010年1月对重庆市4个区（九龙坡区、渝中区、大渡口区、巴南区）男性居民进行了问卷调查。结果：愿意接受包皮环切手术者共661名,平均年龄为31.2岁;职业为工人者最多占57.3%;文化程度以高中或中专最多占42.1%;共有6人有吸毒史;有338人（51.1%）愿意在男性专科医院做该手术,有56.4%的调查对象愿意选择由主治医生进行手术,69.7%的调查对象愿意花钱做该手术,56%的调查对象能够接受1000元的手术费,有38.1%的调查对象认为该手术是隐私。获得包皮环切手术信息来源主要是电视和报刊书籍宣传的比例分别为51.9%、42.9%,接受过咨询服务而获得相关知识的比例只有7.7%。结论：男性专科医院成为首选医院;年龄、文化程度是决定其是否愿意花钱的重要因素;卫生资源未得到合理利用,咨询服务的方式还有待改善,使卫生资源的配置更加合理,以达到卫生服务的公平性、及时性。

Objective To study the requirement of 661 cases willing to conduct circumcision on health services in Chongqing,and provide references for improving it.Methods 760 cases of male residents were selected from 4 districts in Chongqing from Nov.2009 to Jan.2010 by multi-stage stratified random sampling,and surveyed with questionnaire.Results The average age of the 661 cases willing to undergo circumcision was 31.2.57.3%of them were workers.42.1%of them graduated from senior high school or academic school.There had 6 people had history of drug abuse.338 cases（51.1%）were willing to conduct circumcision in specialized hospital.56.4%of them preferred to attending doctors.69.7%of them preferred to pay for the operations,and 56%of them could undertake the fee of 1000 RMB Yuan.38.1%of them thought it as privacy.The main way to obtain related messages was television and magazines,which occupied 51.9%and 42.9%,respectively.Only 7.7%of them had knowledge from counseling.Conclusion The specialized hospital for male was the first choice for circumcision.Age and education were important factors for them to decide whether paying for the circumcision.Health resources did not be used rationally.The method of counseling needs to be improved to reasonably allocate the health resources,and achieve fairness,timeliness of health services.